Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Virginia Beach › NPI 1780624627

Tidewater Kidney Specialists, INC.

Tidewater Kidney Specialists, INC. was paid $2.04M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 53% of everything it billed.

33Billing provider infoTIDEWATER KIDNEY SPECIALISTS, INC.
VIRGINIA BEACH, VA 23462
33aNPI1780624627assigned 06/08/2006
33bProvider typeSpecialist
28Total paid$2.04M
24GClaims53,823
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Virginia

Rank by total paid#13 of 231
Median peer was paid$47K
This provider vs. median43×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20189,121$203K
20199,842$268K
20205,839$232K
20219,328$364K
20227,963$356K
20237,361$367K
2024incomplete4,369$245K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 53% 15,327 12,728 $1.08M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 36% 32,709 11,733 $728K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.9% 4,302 1,803 $161K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.0% 1,000 851 $41K
99223 Prolong inpt eval add15 m <1% 175 156 $12K
90961 <1% 163 137 $11K
90935 Hemodialysis procedure with single evaluation by a physician <1% 128 55 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 19 17 $87.84

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSKIDMORE, ELIZABETH (ADMINISTRATOR)